Parent Notice
Eligibility or Non-Eligibility Determination
Form 3a
Student Name_________________________Student #_________________
School______________________________ Grade___________________
Dear__________________________________
Parent/Guardian
On_____________________________, an evaluation team met to determine
whether your child has a qualifying disability under Section 504 of the
Rehabilitation. Based on the team’s review of all the information collected,
the evaluation team determined that:
□
Your child has a qualifying disability under Section 504 of the
Rehabilitation Act and requires an accommodation plan to ensure he/she
receives an appropriate education. A copy of the accommodation plan is
enclosed for review.
□
Your child does not have a disability or condition that meets the
definition of a qualifying disability under Section 504. Therefore, the
District cannot provide accommodations under Section 504.
Please contact me if you have any questions. Enclosed is the copy of the
“Parents’ Rights and Safeguards under Section 504” form. This document
summarizes your rights and the rights of your child under Section 504. If
you did not find the document concerning a parent’s rights or need another
copy, please contact me.
If you have any questions or would like to schedule a meeting, please do not
hesitate to contact me.
Sincerely,
___________________________________________ _________________
504 Team Leader( school principal or his/her designee) telephone number